Am J Psychiatry 1987; 144:35-40
Copyright © 1987 by American Psychiatric Association
Clinical predictors of suicide in patients with major affective disorders: a controlled prospective study
J Fawcett, W Scheftner, D Clark, D Hedeker, R Gibbons and W Coryell
The authors report prospective uniform clinical data differentiating 25
patients who committed suicide from 929 patients who did not in a group of
954 patients with major affective disorder followed for an average of 4
years in the Collaborative Program on the Psychobiology of Depression.
Eight (32%) of the suicides occurred within 6 months and 13 (52%) within 1
year of entry into the study. Hopelessness, loss of pleasure or interest,
and mood cycling during the index episode differentiated the suicide group.
Diagnostic subcategories, suicidal ideation at entry to the study, suicide
attempts during current or past episodes, and medical severity of prior
attempts did not differentiate the suicide group.
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